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Micrococcus Peritonitis Complicating Peritoneal Dialysis. 并发腹膜透析的微球菌腹膜炎
Rhode Island medical journal (2013) Pub Date : 2024-02-01
Martin L Li, Ankur D Shah
{"title":"Micrococcus Peritonitis Complicating Peritoneal Dialysis.","authors":"Martin L Li, Ankur D Shah","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Peritonitis, a serious complication of peritoneal dialysis (PD), can be caused by opportunistic pathogens like Micrococcus species on rare occasions. We present a case of Micrococcus sp peritonitis in a 55-year-old female with end-stage kidney disease on continuous cycling peritoneal dialysis for one year who presented with cloudy effluent. Initial treatment against Micrococcus sp with vancomycin, gentamicin, and prophylactic oral nystatin was successful. However, one month later, the patient presented with abdominal pain and dialysate culture again grew Micrococcus sp. Treatment with vancomycin was unsuccessful in resolving culture positivity. The patient was transitioned to hemodialysis for non-medical reasons and then was later restarted on PD without further peritonitis episodes. Micrococcus sp peritonitis in PD poses treatment challenges due to limited guidelines. Intraperitoneal vancomycin is commonly used to target Micrococcus isolates although there is a high incidence of treatment failure. This case report highlights the need for continued reporting to enhance identification, prevention, and patient outcomes in Micrococcus sp peritonitis during PD.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 2","pages":"16-19"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Direct Visualization of Diverticular Bleed on Colonoscopy. 结肠镜直接观察憩室出血。
Rhode Island medical journal (2013) Pub Date : 2024-02-01
Adam Burton, Yousef Elfanagely, May Min
{"title":"Direct Visualization of Diverticular Bleed on Colonoscopy.","authors":"Adam Burton, Yousef Elfanagely, May Min","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 2","pages":"26-27"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Analysis of the Number of Patients Screened, Approached and Enrolled in Randomized Controlled Trials. 随机对照试验的筛选、接触和入组患者人数分析。
Rhode Island medical journal (2013) Pub Date : 2024-02-01
Andrew Aultman, Kelly C Ditter, Hector Mendez-Figuero, Kathryn Anderson, Megha Gupta, Suneet P Chauhan, Stephen Wagner
{"title":"An Analysis of the Number of Patients Screened, Approached and Enrolled in Randomized Controlled Trials.","authors":"Andrew Aultman, Kelly C Ditter, Hector Mendez-Figuero, Kathryn Anderson, Megha Gupta, Suneet P Chauhan, Stephen Wagner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 2","pages":"48-49"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139574535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
International Medical Graduates in US Orthopedic Residency Programs: A Comprehensive Analysis. 美国骨科住院医师项目中的国际医学毕业生：综合分析。
Rhode Island medical journal (2013) Pub Date : 2024-02-01
Mohamad Y Fares, Peter Boufadel, Mohammad Daher, Tarek Haj Shehade, Jaspal Singh, Joseph A Abboud
{"title":"International Medical Graduates in US Orthopedic Residency Programs: A Comprehensive Analysis.","authors":"Mohamad Y Fares, Peter Boufadel, Mohammad Daher, Tarek Haj Shehade, Jaspal Singh, Joseph A Abboud","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>This study aims to provide insight regarding the different qualities of international medical graduates (IMGs) involved in US orthopedic residency programs.</p><p><strong>Methods: </strong>Orthopedic residency programs accredited by the ACGME and listed in the AMA database were screened. Data on program size and location, IMG year of training, the geographic region of IMG's medical schools, their research experiences and number of gap years were included.</p><p><strong>Results: </strong>A total of 167(80.3%) orthopedic residency programs were included. A total of 3838 residents were identified, of which 44 (1.15%) were IMGs. The United Kingdom and Ireland had the highest number of matched IMGs with four (9.1%) each. Massachusetts was the state with the highest number of enrolled IMGs. On average, IMGs had 26.3 publications and joined US orthopedic residency 4.66 years following medical school graduation.</p><p><strong>Conclusion: </strong>Despite the many hurdles experienced by IMGs, a decent number succeeds in matching into US orthopedic residency programs each year.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 2","pages":"40-43"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing Utility of 24-Hour Ambulatory Blood Pressure Monitoring to Distinguish Pediatric Populations Presenting with Elevated Blood Pressure in Rhode Island. 评估 24 小时非卧床血压监测对区分罗德岛州出现血压升高的儿科人群的实用性。
Rhode Island medical journal (2013) Pub Date : 2024-02-01
Jason Kurland, Marie Carillo, Francisco J Cordero, Robin Kremsdorf, M Khurram Faizan
{"title":"Assessing Utility of 24-Hour Ambulatory Blood Pressure Monitoring to Distinguish Pediatric Populations Presenting with Elevated Blood Pressure in Rhode Island.","authors":"Jason Kurland, Marie Carillo, Francisco J Cordero, Robin Kremsdorf, M Khurram Faizan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This retrospective study aimed to assess the value of 24-hour ambulatory blood pressure monitoring (ABPM) in distinguishing primary from secondary hypertension in pediatric patients. Our study was conducted on 293 patients referred to a pediatric nephrology clinic over 11 years. Various ABPM parameters were analyzed, including daytime and nighttime systolic and diastolic blood pressures, heart rate, and blood pressure load. Among the participants, 74% were normotensive (white-coat hypertension), 21.5% had primary hypertension, and 4.4% had secondary hypertension. There were no significant differences in the analyzed variables between primary and secondary hypertension groups. Our findings suggest that ABPM might not reliably differentiate between the two in this cohort. As white-coat hypertension becomes more prevalent, ABPM remains a valuable tool in preventing unnecessary workups in children without sustained hypertension. However, our study did not identify specific endpoints for distinguishing primary from secondary hypertension.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 2","pages":"30-35"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139575703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency Department Visit for Fever and Rash: DRESS Syndrome. 发热和皮疹急诊就诊：DRESS 综合征。
Rhode Island medical journal (2013) Pub Date : 2024-02-01
Jeffrey R Savarino, Melanie J Lippmann
{"title":"Emergency Department Visit for Fever and Rash: DRESS Syndrome.","authors":"Jeffrey R Savarino, Melanie J Lippmann","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 2","pages":"28-29"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Cancer on Nutrition in the Geriatric Cancer Population. 癌症对老年癌症患者营养的影响。
Rhode Island medical journal (2013) Pub Date : 2024-02-01
Kanwal Bains, Ponnandai S Somasundar, Joanna Abi Chebl, Lidia A Vognar
{"title":"Impact of Cancer on Nutrition in the Geriatric Cancer Population.","authors":"Kanwal Bains, Ponnandai S Somasundar, Joanna Abi Chebl, Lidia A Vognar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Malnutrition in geriatric cancer patients is a leading cause of morbidity and mortality. A nutrition risk assessment should be done early to identify and treat those at risk for cancer-related malnutrition. The goal of this study was to assess nutritional status in geriatric patients diagnosed with all cause cancer. We conducted a single institutional prospective cohort study of geriatric patients with cancer from 2013-2018. Patients 65 years old and above had undergone a comprehensive geriatric assessment before starting treatment (day 0), post-treatment (day 30), and post-post treatment (day 90). Body Mass Index (BMI) and the Mini Nutritional Assessment (MNA) were used to assess nutrition status. Results showed an increase in nutrition status from pretreatment (day = 0) to treatment (day =30), followed by a decrease in MNA scores at day 90. Results showed a decrease in BMI across all time points. This study supports that cancer and anti-cancer therapy in geriatric patients cause malnutrition, indicating the importance of early nutritional evaluation and intervention.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 2","pages":"36-39"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hypertrophic Olivary Degeneration Following Clivus Meningioma Surgery. 颅底脑膜瘤手术后的肥大性橄榄形变性
Rhode Island medical journal (2013) Pub Date : 2024-02-01
Nahid Mohammadzadeh, Glenn A Tung, Joseph H Friedman
{"title":"Hypertrophic Olivary Degeneration Following Clivus Meningioma Surgery.","authors":"Nahid Mohammadzadeh, Glenn A Tung, Joseph H Friedman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 2","pages":"24-25"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Not a Laughing Matter: When Nitrous Oxide Causes Functional Vitamin B12 Deficiency. 不是笑料：一氧化二氮导致功能性维生素 B12 缺乏症。
Rhode Island medical journal (2013) Pub Date : 2024-02-01
Yonathan Daniel, Sarah Freeman
{"title":"Not a Laughing Matter: When Nitrous Oxide Causes Functional Vitamin B12 Deficiency.","authors":"Yonathan Daniel, Sarah Freeman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Subacute combined degeneration (SCD) is an acquired neurologic complication from prolonged vitamin B12 deficiency. As a result of dorsal and lateral spinal cord column degeneration, patients present with a range of neurological symptoms, including paresthesias, ataxia, and muscle weakness. Without prompt treatment, irreversible nerve damage occurs. Here we present a young man who developed progressive ascending paresthesias and lower extremity weakness after escalated nitrous oxide use. This case highlights the importance of considering SCD from nitrous oxide toxicity when patients present with progressive ataxia, paresthesia, and lower extremity weakness.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 2","pages":"13-15"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pseudohypoglycemia: A Pitfall in Everyday Practice. 假性低血糖：日常实践中的一个陷阱。
Rhode Island medical journal (2013) Pub Date : 2024-02-01
Eric W Robbins, Taro Minami, Kamran Manzoor
{"title":"Pseudohypoglycemia: A Pitfall in Everyday Practice.","authors":"Eric W Robbins, Taro Minami, Kamran Manzoor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hypoglycemia is a common clinical finding, especially in the inpatient setting. However, laboratory testing may show falsely low blood glucose levels. It is crucial for clinicians to recognize the existence of pseudohypo- glycemia and know when and how to test for it.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 2","pages":"20-23"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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